IV型食管旁疝腹腔镜修补

Laparascopic Repair of Giant Type IV Paraesophageal Hernia


By Gan H. Dunnington, Jr, MD, Leo Gazoni, MD, Bruce Schirmer, MD, and Benjamin David Kozower, MD, MPh

STSA Surgical Motion Picture 2009 Annual Meeting

Type IV paraesophageal hernia can be a complicated problem which may be managed from various surgical approaches. This video describes the technical aspects of a laparascopic approach and the necessity of adhering to the surgical principles required for a successful repair. Hernia sac excision and reduction of its content, hiatal closure and reinforcement if necessary, lengthening of a foreshortened esophagus, and anti-reflux procedure are all crucial to ensuring an optimal result.